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China Accident Investigation Report No. CN-MEM-2018-11-28 2018 Fire Fire Explosion Explosion
河北张家口盛华化工'11·28'氯乙烯气柜泄漏爆燃事故(2018,24 死)
中国化工集团河北盛华化工有限公司,张家口望山循环经济示范区(河北省应急管理厅发布)
Related equipment → Storage tank (storage_tank)Related equipment → Centrifugal compressor (centrifugal_compressor)
24Fatalities
21Injuries
LeakageMechanism code ELP
Failure Mode · ISO 14224 Mapping
Damage mechanism (recorded in KB)
LeakageELP
ISO functional code (as recorded)
ISO 14224:2016 functional failure code
ELP · External leakage - process
ISO ELP — External leakage - process.
1What Happened

1#氯乙烯气柜长期未按规定检修卡顿倾斜泄漏,操作员未及时发现仍调大压缩机回流→氯乙烯冲破环形水封泄漏扩散至厂外遇火源爆燃

2Root Cause

氯乙烯气柜长期未检修卡顿倾斜;操作人员未发现异常仍按常规调大回流;风险管控/应急能力差;瞒报事故误导调查

3Reliability Lessons (from investigation root cause)
  • The 'Root Cause' above is the core lesson of this accident; not split further.
4Associated Failure Mechanisms (Keywords)
氯乙烯 气柜 水封 泄漏 压缩机 卡顿 爆燃 未检修 瞒报
About the Failure-Mode Code (click to expand)

The recorded code ELP is an ISO 14224:2016 functional failure code (describes what the equipment failed to do). The damage mechanism (how it failed) is shown in the Mapping block above. The two are distinct dimensions in ISO 14224.

5Evidence Source (transparent)
Authority:河北省应急管理厅 / 盛华化工'11·28'事故调查组
Official Report:www.jiangmen.gov.cn ↗
Data Verification:verified_url_jiangmen_gov_cn_2026-08-07
Related Failure Modes · Traceability
壳体均匀腐蚀减薄 EVAP-C1-FM1焊缝应力腐蚀/裂纹 EVAP-C1-FM2管内结垢/结疤传热恶化 EVAP-C2-FM1管束点蚀穿孔 EVAP-C2-FM2管板泄漏 EVAP-C2-FM3分布不均→干壁过热 EVAP-C3-FM1分布孔堵塞 EVAP-C3-FM2除沫器堵塞→蒸汽带液 EVAP-C4-FM1不凝气积聚→传热下降 EVAP-C5-FM1湿蒸汽冲蚀/腐蚀 COMP-C1-FM1结垢转子不平衡 COMP-C1-FM2Blade Fatigue Crack COMP-C1-FM3电机过载/烧毁 COMP-C2-FM1Mechanical Seal Leak COMP-C3-FM1密封端面磨损 COMP-C3-FM2轴承磨损/烧瓦 COMP-C4-FM1可调导叶卡涩/调节失灵 COMP-C5-FM1Shell Corrosion COMP-C6-FM1气封失效内漏 COMP-C6-FM2压缩机喘振 COMP-C7-FM1Cavitation FPH-C1-FM1Impeller Wear FPH-C1-FM3电机过载 FPH-C1-FM4Fouling / Scaling FPH-C2-FM1管束腐蚀 FPH-C2-FM2磨蚀/磨损 FPH-C3-FM1固体堵塞 FPH-C3-FM2Cavitation FPH-C4-FM1测量漂移/导压管堵塞 ICS-C1-FM1传感器失效 ICS-C2-FM1控制逻辑失效/死机 ICS-C3-FM1通信中断 ICS-C3-FM2调节阀卡涩/失效 ICS-C4-FM1变频器故障→压缩机跳闸 ICS-C5-FM1联锁拒动 ICS-C6-FM1联锁误动→非计划停机 ICS-C6-FM2转子型线磨损 rotor_profile_wear转子接触擦伤 rotor_contact_score_mark滑动轴承缺陷 bearing_journal_defect止推轴承失效 bearing_thrust_failure油系统污染 oil_system_contamination油泵失效 oil_pump_failure轴封泄漏(工艺气) shaft_seal_leak_gas中间冷却器结垢 intercooler_fouling吸气过滤器堵塞 suction_filter_clog排气温度过高 discharge_temp_high联轴器不对中 coupling_misalignment振动高(不平衡) vibration_high_unbalance气量调节失灵 capacity_control_malfunction内部增速齿轮失效 internal_gear_fail轴承失效(磨损/剥落) MECH-BEARING-WEAR密封失效 MECH-SEAL-FAILURE结垢/堵塞 MECH-FOULING压缩机喘振 MECH-SURGE润滑失效 MECH-LUBRICATION-FAILURE不对中 MECH-MISALIGNMENT转子不平衡 MECH-UNBALANCE叶轮/叶片磨损 MECH-IMPELLER-WEAR冲蚀/冲刷腐蚀 MECH-EROSION机械疲劳 MECH-MECH-FATIGUE均匀/局部减薄(通用减薄) MECH-THINNING联轴器失效 MECH-COUPLING-FAILURE振动诱发疲劳 MECH-VIB-FATIGUE大气腐蚀 MECH-ATMOS电偶腐蚀 MECH-GALVANIC
Report No. CN-MEM-2018-11-28 · Data from China Emergency Management Dept. public investigation conclusions, compiled by Reliability AI, for reliability demonstration purposes only. This case is derived from public incident investigation reports for learning purposes only. AIM does not endorse or guarantee its accuracy.